HomeMy WebLinkAboutTR-1011
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TERMS and CONDITIONS
The Permittee
Fr,ed Ventrudo
residing a[
pan of the
lowing:
1495 Pine Neck Road,
consideration for the issuance of
Southo1d 11971 N. Y.. as
the Permit does understand and pœscribt to the fol-
1. That the said Board of Trustees and the Town of Southold are released from any and
aU damages. oc claims foe damages. of suirs arising dicectly oc indirecrly as a result of any opec-
ation perfoaned pursuant to this permit, and the said Permittee will, at his or hec 0''''' expense.
defend any and all such suits i,nitiated by third parties. and the said Permittee assumes :iill liability
with c"'peet thereto. to the complete exclusion of the Board of Trustees of the Town of Southold
2. That this Permit is valid foe a period of 12 mos. which is considered to he the
estimated time required to complete the work involved, but should åccumstances warrant, request
for an enension may be made to the Board at a later date.
3. TI,at this Permit should be retained indefinitely, or as long as the said Permittee wishes
to maintain the structure or project involved, to provide evidence [Q anyone concerned that auth.
orization was originally obtained.
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4. That the work involved will be subject to the inspection and approval of the Board oc
its agents. and non-compliance with the provisions of the originating application, may be cause foe
remcation of this Permit by resolution of the said Board.
S. That there ,will be no unreasonable interference with navigation as a result of the work
herein authorized.
6. That there shall be no interfereoce with the right of the public to pass and cepass along
the beach berween high and low water macks.
7. That if future operations of the Town of Southold reqnire the removal and/or alreracions
in the location of the work herein authorized, or if. in the opinion of the Board of Trusr.... the
wock shail cause unreasonable obstrucnon to free navigation. the said Permittee will be required,
upon due Docice, to remove or alter this work or project herein stated without expenses to the Town
of Southold.
8. Thac the said Board will be notified by the Permittee 01 the completion <If the work auth-
orized.
9. That the Permittee will obtain aU other permits and consents that may be required sup-
plemental to this permit which may be subject to revoke upon faiIore to obtain same.
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BUARD OF TO\\J\ TI{{:~TEE~
Town of ~ollthol"
l\Iain Road
SOllthol". New York]] 97]
To:
Me Fred Ventrudo, 1495 Pine Neck Road southoLd Ne\'¡ York
.................................................................................. ................(.................. ....1..... .............. .
I. L 'J,' I.
1. Your application, dated ....................i'lp¡;i.J....22.,...l9:z.4................. has been 'evie"cJ bv '''IS
Board, at a meeting of the T,ustees held on .......M<\y....6.,....J.9.7.4......
............... ........... -..
and resulting in the action, as indicated below:
(...~....,) Application approved,
(............) Application denied,
(............) Application tabled.
2. Comments and remarks:
3. If your application is approved above, A PermIt Fee is now due, and should be I¡-ode ¡J'::J',.:.:.t,¿
to the order of the Board of Southold Town Trustees. This fee IS computed belcw according k
the Schedule of Rates as set fo,th in the Instruction Sneet (Form 1/1 J.
If the Permit Fee is paid in person to the Secretor) of the Board, The Permit .....iJl be ob~ainu~)i-..:
at the same time. If the fee is paid by mail, the permit will be mailed in reply,
Computation of Pe,mit Fee:
Ramp - 3 ft. by 10 ft. = 30 sq. ft., @ 10¢ Sq. ft. =
Dock - 4 ft. by 12 ft. = 48 sq. ft., @ 10¢ sq. ft. =
Float - 4 ft. by 20 ft. = 80 sq. ft., @ 10¢ sq. ft. =
4 Pilings @ $1.00 each =
$3.00
4.80
8.00
4.00
$19.80 DUE
Total Fee for this application ........................................................... $ .J.9.,.I3,()...........
Signed ... ..!\,~y.A.?.. .!3.,...q()J:J?s.~~:rfj
............
Chm. Board of Southold Tc"" Trustee-
by
, )'
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~;'.:,¿(c:t7L..~:¿..-. .~~~...~ .~:;f.c
, Secretory.
._.........
A/2 - Rev. 6/72
BOARD OF TOWN TRUSTEES
Town Of Southold
Main Road
Sonthold, New York 11971
APPLICATION FOR FIXED and/or FLOATING DOCKS
I. Applicant's name and address: ..fR.f...~..Ý..€.!Y..T.TJ.Y.f:¿..r;?.................................................
..........,.1, .'1.. f..;i...... PI...'Y. §...!J/. §..~.. K..... R..Q.............,.,...........,....................................................
l'
2. Contractor's name and address: ................t.:y..~§.~..'::..(~ß.~.:~.ç.L...................................
...,.,...........................................................................................................................................................
3. Briefly explain the purpose of this application: .....-¡;...íJ.<.9..~..i??T......?.tf.f..ry,.!:ÆJ,.!.'?.~.
,.. T.~.., "J..~ ,~. ß...~.. !.:' ~ .~.!..:!:. (:~. .~....P.. .~. ~.~ \..,(..!':'... f./?.~.:~. T..,.~. E....~:\,x...... (}, H~. P..~;' ~. T..'(......~ .~.!!...
... "., Qq. ç" !f.!. ~. ~.. ./~.....,l. h~. t~...,.<3. ~ .j~ ,:-c..,.... (, ~. 7...~. .9.. ,~~ 1..~ .~. :~. !?9..)..,........,.....,.........."....,......"
............,....................................................................................................................................................
4, After issuance of a Permit, I expect to: (mark by an )(')
(a) Commence work - AT ONCE ............; ASAP ....X....; UNKNOWN .............
(b) Complete work in - 1 DAy............; 1 MO. ............; 1 YR, ...X.....; FUTURE .............
5.
Secure the correct Area Map from the Secretary of this Board, and by using an X WITHIN
A CIRCLE indicate as closely as possible the location of this dock. On the reverse side of this
mop, provide 0 SCALE DRAWING which will show Ordinary High Water Mark, the shope
and size of the dock and any supplemental pilings which are needed to hold a floating dock
or tie-up a boat. Give all dimensions necessary to determine the area of the dock surface
which extends offshore from the O. H, W. M.
6.
Will ony portion of this construction extend offshore into Town Waters beyond ~~mag'"ÇW
line or boundary formed by other similar structures along the area's shoreline? _,T~ or N ,
If it does extend beyond this so-called dock line indicate by how far, approximately,.......... .
7, Provide the following documents:
(a) A Licensed Engineer's Survey of the property involved.
(b) ,,", copy of the Contractor's Plans and Specifications.
8.
Will this construction require the Filling of any land offshore of the ordin~igh Water
Mark or the Dredging of any material from Town Lands under water?~a NO If it does,
Form A/4 (Application for Dredging/Filling) must be completed and attached part of this
oppl ication,
9. In requesting approval of this application, I submit that: the information presented herein
is true and correct to the best of my knowledge and belief; I om the person accountable for
the performance of the work in accordance with the plans and specifications attached; I have
read or am familiar with the provisions of any Southold Tawn Ordinance pertinent to the work
involved; and further, I intend to adhere ta and abide by the Terms and Conditions of the
Permit, when and if issued to me.
-£ /1iub
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Dated: 1.<.:>-/-,/
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